Nursing Scope and Standards of Practice - Lindsey Wilson College

Nursing

Scope and

Standards

of Practice

3rd Edition

American Nurses Association

Pre-publication copy June and July 2013: Restricted use for designated

reviewers

only.

Silver

Spring, Maryland

2015

The American Nurses Association (ANA) is a national professional association. This

ANA publication, Nursing: Scope and Standards of Practice, Third Edition, reflects

the thinking of the nursing profession on various issues and should be reviewed

in conjunction with state board of nursing policies and practices. State law, rules,

and regulations govern the practice of nursing, while Nursing: Scope and Standards

of Practice, Third Edition, guides nurses in the application of their professional

knowledge, skills, and responsibilities.

American Nurses Association

8515 Georgia Avenue, Suite 400

Silver Spring, MD 20910-3492

1-800-274-4ANA



Published by

The Publishing Program of ANA



Copyright ?2015 American Nurses Association. All rights reserved. Reproduction or

transmission in any form is not permitted without written permission of the American

Nurses Association (ANA). This publication may not be translated without written

permission of ANA. For inquiries, or to report unauthorized use, email copyright@

.

Cataloging-in-Publication Data on file with the Library of Congress

ISBN-13: 978-1-55810-619-2

SAN: 851-3481

07/2015

First printing: July 2015

Pre-publication copy June and July 2013: Restricted use for designated reviewers only.

Contents

Contributors

vii

Overview of the Content

xi

Essential Documents of Professional Nursing

Additional Content

Audience for This Publication

xi

xi

xii

Scope of Nursing Practice

1

Definition of Nursing

Professional Nursing¡¯s Scope and Standards of Practice

Description of the Scope of Nursing Practice

Development and Function of the Standards of Professional Nursing Practice

Standards of Practice

Standards of Professional Performance

The Function of Competencies in Standards

Integrating the Art and Science of Nursing

The What and How of Nursing

Tenets Characteristic of Nursing Practice

The How of Nursing

The Art of Nursing

The Science of Nursing

When Nursing Occurs

Nursing Knowledge, Research, and Evidence-based Practice

The Where of Nursing Practice

Healthy Work Environments for Nursing Practice

Safe Patient Handling and Mobility (SPHM)

Fatigue in Nursing Practice

Workplace Violence and Incivility

Optimal Staffing

Supports for Healthy Work Environments

High-Performing Interprofessional Teams

Key Influences on the Quality and Environment of Nursing Practice

1

1

2

3

4

5

6

6

7

7

9

11

13

16

16

19

21

22

22

22

23

23

27

28

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Contents ? Nursing: Scope and Standards of Practice, 3rd Ed. ? iii

Societal, Cultural, and Ethical Dimensions Describe the Why and How of Nursing

Model of Professional Nursing Practice Regulation

The Code of Ethics for Nurses

Specialty Practice in Nursing

Professional Registered Nurses Today: The Who of Nursing

Statistical Snapshot

Licensure and Education of Registered Nurses

Advanced Practice Registered Nurse Roles

Professional Competence in Nursing Practice

Evaluating Competence

Professional Trends and Issues

Creating a Sustainable Nursing Workforce

Nursing Education

Technological Advances

Population Focus: Redefining Health and Well-being for the

Millennial Generation

Baby Boomers: Health and Chronic Illness

Summary of the Scope of Nursing Practice

31

33

36

37

38

38

41

42

43

45

45

46

47

48

Standards of Professional Nursing Practice

51

Significance of Standards

51

Standards of Practice

53

Standard 1. Assessment

Standard 2. Diagnosis

Standard 3. Outcomes Identification

Standard 4. Planning

Standard 5. Implementation

Standard 5A. Coordination of Care

Standard 5B. Health Teaching and Health Promotion

Standard 6. Evaluation

53

55

57

59

61

63

65

66

Standards of Professional Performance

67

Standard 7. Ethics

Standard 8. Culturally Congruent Practice

Standard 9. Communication

Standard 10. Collaboration

Standard 11. Leadership

Standard 12. Education

Standard 13. Evidence-based Practice and Research

Standard 14. Quality of Practice

Standard 15. Professional Practice Evaluation

Standard 16. Resource Utilization

Standard 17. Environmental Health

67

69

71

73

75

76

77

79

81

82

84

48

48

49

Pre-publication copy June and July 2013: Restricted use for designated reviewers only.

iv ? Nursing: Scope and Standards of Practice, 3rd Ed. ? Contents

Glossary

85

References and Bibliography

91

Appendix A: Nursing: Scope and Standards of Practice, 2nd Edition (2010)

99

Appendix B: Nursing¡¯s Social Policy Statement: The Essence of the Profession (2010) 175

Appendix C: ANA Position Statement: Professional Role Competence (2014)

Appendix D: The Development of Essential Nursing Documents

213

and Professional Nursing

223

Appendix E: Selected Nurse Theorists

227

Appendix F: Culturally Congruent Practice Resources

229

Index

235

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Contents ? Nursing: Scope and Standards of Practice, 3rd Ed. ? v

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